Dr. Michael Chew @mchew85
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GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22
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Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... gastroenterology #EGD #clinical
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... Gastroenterology #UpperGI #Rebleeding
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... active #Gastric #Bleeding ... gastroenterology #clinical
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Endoscopy #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... SBP: Medical Management ... acceptable Upper Gl bleeding ... SBP #Diagnosis #Management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... anticipate active bleeding ... - If without bleeding ... #Tips #Tricks #management
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
of Small Bowel Bleeding ... #SmallBowel #Bleeding
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Stage 4 - Gl bleeding
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... algorithm for GIM management ... GIM #diagnosis #management
Gastric Polyp Diagnosis and Management Algorithm

#Gastric #Polyp #Diagnosis #Management #Algorithm #gastroenterology
Diagnosis and Management ... Polyp #Diagnosis #Management